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Combination Chemotherapy in Treating Patients With Colorectal Cancer
This study is ongoing, but not recruiting participants.
First Received: June 6, 2002   Last Updated: July 23, 2008   History of Changes
Sponsored by: European Organization for Research and Treatment of Cancer
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00039208
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving drugs at the time of day that allows for the best drug response may allow the doctor to give higher doses of chemotherapy drugs and kill more tumor cells.

PURPOSE: Randomized phase II trial to determine the best time to give irinotecan combined with fluorouracil, leucovorin, and oxaliplatin in treating patients who have colorectal cancer.


Condition Intervention Phase
Colorectal Cancer
Drug: fluorouracil
Drug: irinotecan hydrochloride
Drug: leucovorin calcium
Drug: oxaliplatin
Phase II

MedlinePlus related topics: Cancer Colorectal Cancer
Drug Information available for: Fluorouracil Leucovorin Citrovorum factor Oxaliplatin Irinotecan U 101440E Irinotecan hydrochloride Leucovorin Calcium Folinic acid calcium salt pentahydrate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Active Control
Official Title: Time Finding Study of Chronomodulated Irinotecan, 5 Fluorouracil, Leucovorin and Oxaliplatin as First or Second Chemotherapy Line Against Metastatic Colorectal Cancer

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Peak delivery time for CPT11 tolerability over the first 3 courses of treatment in patients who started therapy [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Peak delivery time for CPT11 tolerability over the first 3 courses of treatment in patients who started therapy, excluding those who stopped prior to course 3 for reasons other than toxicity [ Designated as safety issue: Yes ]
  • Peak delivery time for CPT11 activity over the first 3 courses [ Designated as safety issue: No ]
  • Peak delivery time for CPT11 tolerability and efficacy over the first 6 courses [ Designated as safety issue: Yes ]
  • Severe toxic events assessed by CTC v2.0 after each course of chemotherapy [ Designated as safety issue: Yes ]
  • Progression-free survival [ Designated as safety issue: No ]
  • Overall survival [ Designated as safety issue: No ]

Study Start Date: February 2002
Detailed Description:

OBJECTIVES:

  • Determine the role of peak delivery time on the tolerability of irinotecan when administered with chronomodulated fluorouracil, leucovorin calcium, and oxaliplatin as first- or second-line therapy in patients with locoregional or metastatic colorectal cancer.
  • Determine the antitumor activity of this regimen.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, WHO performance status (0-1 vs 2), and line of treatment (first vs second). Patients are randomized to receive irinotecan at 1 of 6 different times of the day.

Patients receive irinotecan IV over 6 hours on day 1 and fluorouracil IV and leucovorin calcium IV over 11 hours followed by oxaliplatin IV over 11 hours on days 2-5. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Patients are followed every 4 weeks until disease progression and then every 8 weeks thereafter.

PROJECTED ACCRUAL: A maximum of 186 patients (31 per irinotecan administration time) will be accrued for this study within 2 years.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed colorectal cancer
  • Unresectable metastatic or locoregional disease
  • At least 1 measurable lesion outside a previously irradiated area or an area treated with physical devices (e.g., cryotherapy, laser, or thermoablation)
  • No prior enrollment in EORTC-05963
  • No symptomatic brain metastases

PATIENT CHARACTERISTICS:

Age:

  • Over 18

Performance status:

  • WHO 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Neutrophil count greater than 2,000/mm^3
  • Platelet count at least 90,000/mm^3

Hepatic:

  • Bilirubin no greater than 2 times upper limit of normal (ULN)

Renal:

  • Creatinine no greater than 1.5 times ULN
  • No uncontrolled hypercalcemia

Cardiovascular:

  • No overt cardiac disease

Pulmonary:

  • No severe respiratory illness

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Male patients must use effective barrier contraception during and for up to 6 months after study
  • No baseline diarrhea greater than grade I (must have less than 4 stools per 24 hours)
  • No prior grade III or IV toxicity related to irinotecan
  • No sensory or motor neuropathy with functional impairment
  • No prior hypersensitivity to any study drug
  • No other primary tumor except basal cell skin cancer or carcinoma in situ of the cervix
  • No uncontrolled infectious or chronic disease
  • No psychological, familial, sociological, or geographical condition that would preclude study

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No concurrent prophylactic growth factor therapy

Chemotherapy:

  • At least 1 month since prior chemotherapy
  • No prior irinotecan, fluorouracil, leucovorin calcium, and oxaliplatin as combination therapy
  • Other prior therapy containing irinotecan and/or oxaliplatin allowed
  • No more than 1 prior chemotherapy regimen for metastatic or locoregional disease
  • Adjuvant chemotherapy considered first-line therapy if tumor relapsed within 6 months of completion of therapy

Endocrine therapy:

  • No concurrent corticosteroids except for emergencies

Radiotherapy:

  • See Disease Characteristics
  • Palliative radiotherapy for bone lesion allowed except for disease progression

Surgery:

  • See Disease Characteristics
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00039208

Locations
Belgium
Centre Hospitalier Notre Dame - Reine Fabiola
Charleroi, Belgium, 6000
Centre Hospitalier Peltzer-La Tourelle
Verviers, Belgium, B-4800
CHU Liege - Domaine Universitaire du Sart Tilman
Liege, Belgium, B-4000
Clinique Sainte Elisabeth
Namur, Belgium, 5000
Clinique Saint-Joseph
Liege, Belgium, B 4000
France
Hopital Paul Brousse
Villejuif, France, 94804
Centre Hospital Regional Universitaire de Limoges
Limoges, France, 87042
Centre Jean Perrin
Clermont-Ferrand, France, 63011
Centre Rene Huguenin
Saint Cloud, France, 92211
Centre de Lutte Contre le Cancer Georges-Francois Leclerc
Dijon, France, 21079
Hopital Saint-Louis
Paris, France, 75475
Italy
Azienda Ospedale S. Luigi at University of Torino
Orbassano, (Torino), Italy, 10043
Azienda Sanitaria di Bolzano
Bolzano, Italy, 39100
Fondazione Salvatore Maugeri
Pavia, Italy, I-27100
Istituto Clinico Beato Matteo
Vigevano, Italy, 27029
Istituto Regina Elena
Rome, Italy, 00161
Ospedale Oncologico Regionale
RIONERO in VULTURE, Italy, I-58028
Ospedale San Carlo Borromeo
Milano (Milan), Italy, 20153
Universita G.D'Annunzio Di Chieti
Chieti, Italy, 66100
Portugal
Hospital Fernando Fonseca
Amadora, Portugal, P-2700
Sponsors and Collaborators
European Organization for Research and Treatment of Cancer
Investigators
Investigator: Carlo Garufi, MD Istituti Fisioterapici Ospitalieri - Roma
  More Information

Additional Information:
Publications:
Garufi C, Focan C, Tumolo S, et al.: Time finding study of chronomodulated irinotecan (I), fluorouracil (F), leucovorin (L) and oxaliplatin (O) (chronoIFLO) against metastatic colorectal cancer: results from randomized EORTC 05011 trial. [Abstract] J Clin Oncol 25 (Suppl 18): A-2566, 2007.

Study ID Numbers: CDR0000069363, EORTC-05011
Study First Received: June 6, 2002
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00039208     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage III colon cancer
stage IV colon cancer
stage III rectal cancer
stage IV rectal cancer
recurrent colon cancer
recurrent rectal cancer

Study placed in the following topic categories:
Antimetabolites
Immunologic Factors
Gastrointestinal Diseases
Rectal Neoplasms
Colonic Diseases
Irinotecan
Leucovorin
Rectal Diseases
Signs and Symptoms
Oxaliplatin
Vitamins
Micronutrients
Digestive System Neoplasms
Vitamin B Complex
Rectal Neoplasm
Trace Elements
Intestinal Diseases
Immunosuppressive Agents
Intestinal Neoplasms
Recurrence
Camptothecin
Calcium, Dietary
Rectal Cancer
Digestive System Diseases
Fluorouracil
Gastrointestinal Neoplasms
Antineoplastic Agents, Phytogenic
Colorectal Neoplasms

Additional relevant MeSH terms:
Antimetabolites
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Gastrointestinal Diseases
Antineoplastic Agents
Colonic Diseases
Irinotecan
Physiological Effects of Drugs
Leucovorin
Rectal Diseases
Oxaliplatin
Neoplasms by Site
Vitamins
Therapeutic Uses
Micronutrients
Vitamin B Complex
Digestive System Neoplasms
Growth Substances
Enzyme Inhibitors
Intestinal Diseases
Immunosuppressive Agents
Intestinal Neoplasms
Camptothecin
Pharmacologic Actions
Neoplasms
Digestive System Diseases
Fluorouracil
Gastrointestinal Neoplasms
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on May 07, 2009